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Table 3 PSM-DID results for the impact of the family doctor system on health service utilization in patients with hypertension and diabetes

From: Can family doctor system improve health service utilization for patients with hypertension and diabetes in China? A difference-in-differences study

Outcome

2014

2017

DID

Contracted

Non-contracted

Contracted

Non-contracted

coef. (95%CI)

p value

Hypertension

      

Annual follow-up visits

7.16 (7.10,7.22)

7.03 (6.98,7.08)

7.88 (7.82,7.94)

6.83 (6.77,6.89)

0.12 (0.12,0.13)

< 0.001

Annual outpatient visits

29.74 (29.44,30.04)

21.73 (21.47,21.99)

31.65 (31.32,31.97)

22.00 (21.73,22.26)

0.08 (0.07,0.09)

< 0.001

Annual outpatient visits in community health centers

21.48 (21.25,21.70)

10.91 (10.72,11.09)

24.36 (24.10,24.62)

11.44 (11.24,11.64)

0.09 (0.08,0.11)

< 0.001

Proportion of outpatient visits in community health centers

75.11 (74.78,75.45)

50.21 (49.71,50.71)

79.54 (79.24,79.84)

50.91 (50.40,51.42)

0.02 (0.01,0.03)

< 0.001

Annual outpatient visits in secondary and tertiary hospitals

8.17 (8.02,8.32)

10.69 (10.52,10.86)

7.12 (6.98,7.26)

10.36 (10.19,10.53)

-0.14 (-0.16, -0.13)

< 0.001

Annual inpatient admissions

0.21 (0.20,0.22)

0.24 (0.23,0.25)

0.36 (0.34,0.37)

0.44 (0.42,0.46)

-0.02 (-0.05, -0.01)

0.013

Diabetes

      

Annual follow-up visits

5.56 (5.47,5.66)

5.58 (5.49,5.67)

5.66 (5.57,5.75)

5.12 (5.03,5.22)

0.07 (0.06,0.106)

< 0.001

Annual outpatient visits

33.45 (32.74,34.17)

25.34 (24.72,25.95)

35.37 (34.63,36.12)

25.72 (25.07,26.37)

0.05 (0.03,0.08)

< 0.001

Annual outpatient visits in community health centers

23.85 (23.30,24.39)

12.22 (11.77,12.66)

26.98 (26.39,27.57)

13.00 (12.50,13.49)

0.07 (0.04,0.10)

< 0.001

Proportion of outpatient visits in community health centers

73.11 (72.39,73.83)

46.76 (45.69,47.82)

78.66 (78.02,79.29)

47.38 (46.27,48.48)

0.03 (0.02,0.06)

< 0.001

Annual outpatient visits in secondary and tertiary hospitals

9.49 (9.15,9.83)

12.95 (12.54,13.36)

8.20 (7.88,8.51)

12.45 (12.04,12.86)

-0.13 (-0.16, -0.10)

< 0.001

Annual inpatient admissions

0.27 (0.24,0.29)

0.38 (0.35,0.41)

0.44 (0.40,0.47)

0.58 (0.53,0.62)

-0.09 (-0.10, -0.03)

0.128

  1. Notes The study included age, gender, comorbidities, insurance type, BMI for all patients, hypertension disease duration, SBP, and DBP additionally for hypertensive patients, and FBS additionally for diabetes patients as matching variables for 1:1 nearest matching at the baseline in 2014. Equation (1) was estimated by the GLM models with all the other variables mentioned before being controlled. It should be noticed that disease duration, average scores of SBP and DBP were only controlled in the models of the hypertension group, and average score of FBG only in the model of the diabetes group. The coefficient and the (95% CI) are shown in the table